Organization Active NPI

Kkache Enterprises, Inc

  • Home Health Agency
  • Manassas, VA
National Provider Identifier
1073753471
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KKACHE ENTERPRISES, INC
Doing business as
kkache Health Care Services
Practice address
10130 Shiloh CT
Manassas, VA 20109-3522
Phone
(540) 522-0860
Fax
(571) 379-7784
NPI assigned
Feb 24, 2009
Organization subpart
Yes
Parent organization
KKACHE ENTERPRISES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Catherine Ifeoma Elebo-Stinson, M.D.
Title
President
Phone
(540) 522-0860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10130 Shiloh CT
Manassas, VA 20109-3522

Mailing address

10130 Shiloh CT
Manassas, VA 20109-3522
Phone (540) 522-0860

Other names 1

  • kkache Health Care Services Doing business as

National Provider Directory

National Provider Directory
Part of
Kkache Enterprises Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1073753471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 SHILOH CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093522",
            "telephone_number": "540-522-0860",
            "fax_number": "571-379-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 SHILOH CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093522",
            "telephone_number": "540-522-0860",
            "fax_number": "571-379-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKACHE ENTERPRISES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KKACHE ENTERPRISES, INC",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "ELEBO-STINSON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "IFEOMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-522-0860",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kkache Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.